MR. JEFFREY LEE JERDE CRNA
NPI 1780614941
Nurse Anesthetist, Certified Registered in Tomah, WI
NPI Status: Active since July 04, 2006
- Individual
- Male
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
About JEFFREY JERDE
This page provides the complete NPI Profile along with additional information for Jeffrey Jerde, a provider established in Tomah, Wisconsin with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1780614941 assigned on July 2006. The practitioner's primary taxonomy code is 367500000X with license number 81297-030 (WI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1780614941
- Provider Name
- MR. JEFFREY LEE JERDE CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 501 GOPHER DR TOMAH, WI 54660
- Location Phone
- (608) 372-2181
- Mailing Address
- 501 GOPHER DR TOMAH, WI 54660
- Mailing Phone
- (608) 372-2181
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-04-2006
- Last Update Date
- 01-22-2021
- Code Navigator
Location Map
Secondary Locations
- 1032 E Sumner St
Hartford, WI 53027
(262) 670-7223
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 81297-030
- License State
- WI
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 149023 (MO) |
| 2 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | R 172688-8 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MR. JEFFREY LEE JERDE CRNA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 8 | 0 | 6 | 1 | 4 | 9 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 12 | 1 | 8 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 2 + 1 + 8 + 9 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1780614941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992970453 | TOMAH MEMORIAL HOSPITAL INC Organization | General Acute Care Hospital | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1174874697 | TOMAH MEMORIAL HOSPITAL, INC. Organization | Non-Pharmacy Dispensing Site | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1568469864 | RICHARD WILLIAM BANKS D.O. Individual | Orthopaedic Surgery | 501 GOPHER DR TOMAH, WI 54660 (843) 338-2895 |
| 1770511578 | JOHN WARREN ROBERTSON III MD Individual | Surgery (Vascular Surgery) | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1538261367 | MICHELLE M MASTERS APNP Individual | Nurse Practitioner (Family) | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1780783100 | LAURA J MILLER NP Individual | Nurse Practitioner | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1962596536 | ANGELA KAY FULLER NP Individual | Nurse Practitioner (Women's Health) | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1780748343 | KELLY S THAYER APNP Individual | Nurse Practitioner (Family) | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1275678468 | MR. DAVID ROY DEMASK CRNA Individual | Nurse Anesthetist, Certified Registered | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1326284381 | MARCIA K HAGEN APNP Individual | Nurse Practitioner (Adult Health) | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1962653089 | MS. SARAH NICOLE LIDDELL PA-C Individual | Physician Assistant | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1245511682 | COLE B DOLAN CRNA Individual | Nurse Anesthetist, Certified Registered | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1629487376 | MRS. AMERICA AMERICA FUSHIANES APNP Individual | Nurse Practitioner (Family) | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1396110821 | CASSIE SULLIVAN Individual | Nurse Practitioner (Family) | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1164057717 | AGNIESZKA DENDURA Individual | Nurse Practitioner | 501 GOPHER DR TOMAH, WI 54660 (608) 371-2181 |
| 1891135380 | ASHLEY K PATH MSN, FNP-C Individual | Nurse Practitioner (Family) | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1285621805 | DR. CRAIG A HABERMAN DO Individual | Surgery | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1104214907 | KIMBERLY ANN TOZER CRNA Individual | Nurse Anesthetist, Certified Registered | 501 GOPHER DR TOMAH, WI 54660 (608) 372-2181 |
| 1093389017 | ALEXANDER MORGAN OTR/L Individual | Occupational Therapist | 501 GOPHER DR TOMAH, WI 54660 (608) 377-8354 |
| 1245813385 | KAREN ELIZABETH SMITH NP Individual | Nurse Practitioner | 501 GOPHER DR TOMAH, WI 54660 (608) 377-8213 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780614941, enumerated in the NPI registry as an "individual" on July 04, 2006
The provider is located at 501 Gopher Dr Tomah, Wi 54660 and the phone number is (608) 372-2181
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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